Most Relevant Information
Provider Data
| NPI Number: | 1003675869 |
| Provider Name: | TIM YIRAN LI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/15/2024 |
| Last Updated: | 03/15/2024 |
Provider Practice Location
1300 YORK AVE
NEW YORK
NY
100654805
Practice Location Phone/Fax
| Phone: | 2127465454 |
| Fax: |
Provider Mailing Location
1300 YORK AVE
NEW YORK
NY
100654805
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |